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Contact Information

BRIAN PARK, MD
CAMC - PULMONARY AND CRITICAL CARE MEDICINE
3200 MACCORKLE AVE SE
CHARLESTON, WV25304
 Phone: 201-978-9388
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRIAN PARK · (Male)

NPI # 1942737697
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2017
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA1085990
  • PA License # MD468574
  • WV License # 33603
Hospital affiliation(s)
  • LANSDALE HOSPITAL - (Acute Care)
    100 MEDICAL CAMPUS DRIVE
    LANSDALE, PA 19446
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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